Diaz, Jessica Lisbet
Diaz, Jessica Lisbet is an individual health care provider with primary practice located at 901 W Victoria St. Suite F & G , Compton CA 90220. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diaz, Jessica Lisbet can be contacted via phone (310) 707-2820.Contact Information
Primary practice address
901 W Victoria St. Suite F & G
Compton CA 90220
Phone: (310) 707-2820
Fax: (310) 669-9501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW67504 | California |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCSW97835 | |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW97835 | California |
Profile Details
NPI number | 1366841306 |
---|---|
LBN Legal business name | Diaz, Jessica Lisbet |
Credentials | LCSW97835 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2014 |
Last updated | May 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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